DHSS Press Release

DELAWARE PUBLIC HEALTH URGES RESIDENTS TO TAKE ADDITIONAL PREVENTION MEASURES IN EXTREME HEAT

DOVER (Aug. 12, 2016) - While temperatures will again climb into the 90s this weekend, heat indexes ('feels-like' temperatures) are
predicted to soar to over 100 degrees. With the National Weather Service's Excessive Heat Warning continuing through 9 pm. Sunday
for New Castle County, the Division of Public Health (DPH) is urging residents statewide to take precautions and preventive
measures in the extreme heat conditions. Hot weather can cause heat exhaustion, heat stroke, and severe respiratory conditions,
which can be fatal.

Extreme heat is especially dangerous for seniors, young children, people with disabilities, and people with breathing conditions
and other chronic medical conditions, such as asthma, chronic obstructive pulmonary disease, and other respiratory and
cardiovascular problems. Also at risk are people without access to air conditioning, fans, or cooling shelters. On excessively warm
days, our bodies have less chance to recover, placing everyone at risk for heat-related illness. Sweat ceases to evaporate and the
body's natural cooling system slows down or shuts down completely when temperatures and humidity are extremely high.

In the coming days, Delawareans are encouraged to stay indoors as much as possible. Residents who don't have access to air
conditioning, or fans should seek out cooler locations such as libraries or shopping malls. Residents are also asked to check on
vulnerable members of their families and neighbors, particularly the elderly and people with disabilities.

Animals are also sensitive to the heat and are at risk for heat-related illnesses. Owners should make sure to provide shade or move
animals to shaded pens, provide plenty of cool drinking water, and avoid unnecessary transportation, and walking of pets. Animals
at the greatest risk of stress from the heat include pregnant or lactating animals, very young and older animals, animals with
darker coats, obese pets, short-nosed dog breeds, and animals with chronic health conditions. In dogs and cats, such signs can
include rapid panting, increased heartbeat and body temperature, weakness, increased salivation, restlessness, and muscle spasms,
lack of coordination, bright red or pale and sticky gums, vomiting, diarrhea, and depression. Delaware 2-1-1 connects Delawareans
with critical services and support. Eligible callers can receive referrals to summer cooling and crisis assistance and the City of
Wilmington's Free Electric Fan Program for seniors.

Tips to prevent heat illness:

Do not leave a child or pets alone in a parked car, even for a minute. Call 911 if you see a child or pet left unattended in a
vehicle. Carry water with you and drink continuously even if you do not feel thirsty. Avoid drinks containing sugar, alcohol, or
caffeine, which dehydrate the body. Check with a doctor before increasing fluid intake if you have epilepsy, heart, kidney, or
liver disease, or if you are on a fluid-restrictive diet. Avoid using salt tablets unless directed to do so by a physician. Visit
http://www.cdc.gov/healthywater/drinking/nutrition/index.html
for more information.

Stay indoors on the lowest floor possible. When outdoors, wear lightweight, light-colored clothing. Wear a hat or use an
umbrella. Use sunscreen. Sunburn slows the skin's ability to cool itself, and has been linked to skin cancer. Avoid extreme
temperature changes. Be careful trying to cool down too quickly; a cold shower immediately after coming in from hot temperatures
can lead to hypothermia, particularly for the elderly and children. In these cases, cool water is better than ice cold water.

Limit outdoor activity, especially mid-day when the sun is hottest. Work out or hold team practices early in the morning or in
the early evening. A CDC online course for coaches, athletic trainers, students, school nurses, parents, and teachers is at
cdc.gov/nceh/hsb/extreme/Heat_Illness/index.html

Heed the following heat danger warning signs and take suggested actions:

Heat cramps occur in the muscles of the limbs or abdomen occurring during or after physical activity in high heat. Sweating
results in a loss of fluids and salts that cause muscle cramps. Address heat cramps by resting in a cool place and drinking plenty
of water.

Heat exhaustion is more severe, occurring when a person is overheated along with reduced or unbalanced intake of fluids.
Symptoms include dehydration, fatigue, weakness, clammy skin, headache, nausea and/or vomiting, rapid breathing, irritability, and
fainting. Take these simple steps to reduce heat exhaustion: Move the person indoors or into shade. Loosen or remove the person's
clothing. Encourage the person with heat exhaustion to eat and drink. Get the person to a cool shower or bath. Call your doctor for
further advice.

Heat stroke occurs when the body can no longer cool itself, and can be a life-threatening event. Prompt medical treatment is
required. Symptoms include: flushed, hot and dry skin with no sweating; high body temperature (above 103 degrees F, taken orally);
severe, throbbing headache; weakness, dizziness, or confusion; sluggishness or fatigue; decreased responsiveness; and loss of
consciousness. If heat stroke occurs, take these steps: Call 9-1-1 immediately. This is a medical emergency. Get the heat stroke
victim indoors or into shade. Get the person into a cool shower or bath or wipe them down with continuously soaked cool washcloths
while awaiting emergency responders.

A person who is deaf, hard-of-hearing, deaf-blind, or speech-disabled can call the DPH phone number above by using TTY services.
Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH.
The relay operator types the hearing person's spoken words back to the TTY user. To learn more about TTY availability in Delaware,
visit delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware's citizens by promoting health
and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to
make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours
of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, drink
almost no sugary beverages.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware's citizens by promoting health
and well-being, fostering self-sufficiency, and protecting vulnerable populations.